| NPI | 1851384630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 220939) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 220939) |
| 207R00000X Internal Medicine (Licence: AZ 32776) | |
| 208M00000X Hospitalist (Licence: AZ 32776) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2011-11-19 |