| NPI | 1619395274 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 287698) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 287698) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: NY 287698) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2026-06-08 |