| NPI | 1124414479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 296852) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA D7279728) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2024-08-15 |