| NPI | 1649205782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 212164-1) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 212164) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-12-23 |