| NPI | 1316968530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 223609) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 223609) |
| 207R00000X Internal Medicine (Licence: NY 223609) | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2026-03-31 |