| NPI | 1710184148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 069313) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NY 250427) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2017-05-05 |