| NPI | 1326140542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 243136-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 243136-1) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 243136-1) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 243136) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2023-07-05 |