NPI | 1972506269 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 150050) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 150050) |
207R00000X Internal Medicine (Licence: NY 150050) | |
Enumeration Date | 2005-05-31 |
Last Update Date | 2008-06-20 |