| NPI | 1629385174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 262456) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 262456) |
| Enumeration Date | 2010-09-04 |
| Last Update Date | 2013-06-11 |