| NPI | 1356301014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 204159) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 2041591) |
| 208M00000X Hospitalist (Licence: NY 2041591) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2013-01-10 |