| NPI | 1033160072 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 183795) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 042572) |
| 207R00000X Internal Medicine (Licence: NY 183795) | |
| 208M00000X Hospitalist (Licence: NC 183795) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-01-02 |