| NPI | 1639447071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TX P9479) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 004082) |
| 207R00000X Internal Medicine (Licence: NY 004082) | |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2016-03-29 |