| NPI | 1942324926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2008-01271) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2008-01271) |
| 207R00000X Internal Medicine (Licence: NY 18797301) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2018-05-04 |