| NPI | 1326656224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 95957) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 323794) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2026-06-15 |