| NPI | 1245246933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 241236) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 241236) |
| 207P00000X Emergency Medicine (Licence: NY 241236-3) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-06-16 |