| NPI | 1912165192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: GA 66344) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 259390) |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: GA 66344) | |
| Enumeration Date | 2008-05-25 |
| Last Update Date | 2011-11-17 |