| NPI | 1942294566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 223541-1) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 223541) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2022-07-11 |