| NPI | 1720243413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 249588) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 249588) |
| 208M00000X Hospitalist (Licence: NY 249588) | |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2024-03-13 |