| NPI | 1568036820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 345811) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 345811) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 345811) | |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2026-08-25 |