| NPI | 1225304496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 280493) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NJ 25MB11857000) |
| 207RN0300X Internal Medicine Nephrology (Licence: NY 280493) | |
| 208M00000X Hospitalist (Licence: ID 5671140) | |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2025-07-28 |