| NPI | 1982968194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine (Licence: NY 295225) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 251809) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2020-03-02 |