| NPI | 1043553985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 282816-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 282816-1) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 282816-1) | |
| 208M00000X Hospitalist (Licence: NY 282816) | |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2019-06-07 |