| NPI | 1912191347 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 271054) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 271054-1) |
| 207R00000X Internal Medicine (Licence: NY 003704) | |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2019-04-26 |