| NPI | 1679185623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 327181) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: NY 327181) |
| 208M00000X Hospitalist (Licence: NY 327181) | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2026-07-15 |