| NPI | 1740225226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.131416) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.131416) |
| 208M00000X Hospitalist (Licence: NY 003126) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2019-09-11 |