| NPI | 1144780214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 320523) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 104278) |
| 208M00000X Hospitalist (Licence: NY 320523) | |
| Enumeration Date | 2019-03-23 |
| Last Update Date | 2025-05-01 |