| NPI | 1689792756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 247043) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301084242) |
| 208M00000X Hospitalist (Licence: MI 4301084242) | |
| 208M00000X Hospitalist (Licence: NY 247043) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2011-07-15 |