| NPI | 1033245741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 270299) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-224523) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2023-07-07 |