| NPI | 1629409644 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 16350) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 276231) |
| 207R00000X Internal Medicine (Licence: WY 17999C) | |
| 208M00000X Hospitalist (Licence: IL 031635011) | |
| 208M00000X Hospitalist (Licence: NY 276231) | |
| Enumeration Date | 2013-12-01 |
| Last Update Date | 2025-06-02 |