NPI | 1720354533 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 278928) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 278928) |
Enumeration Date | 2012-03-26 |
Last Update Date | 2015-06-19 |