| NPI | 1467566398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: NY 258256) |
| Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: ME 017860) |
| 207R00000X Internal Medicine (Licence: CA A88509) | |
| 207R00000X Internal Medicine (Licence: ME 017860) | |
| 208M00000X Hospitalist (Licence: ME 017860) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2023-07-06 |