| NPI | 1003979121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 204594) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 204594) |
| 208M00000X Hospitalist (Licence: NY 204594) | |
| 207P00000X Emergency Medicine (Licence: NY 204594) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2021-05-06 |