| NPI | 1497196034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 323192) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 323198) |
| 208M00000X Hospitalist (Licence: ME MD21597) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2025-03-24 |