| NPI | 1972711190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 231544) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 244947) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2009-08-28 |