| NPI | 1407911720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 205274) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 205274) |
| 207R00000X Internal Medicine (Licence: NY 205274) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2025-01-13 |