| NPI | 1750900254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 324048) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 324048) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 324048) | |
| 207T00000X Neurological Surgery (Licence: NY 324048) | |
| 208M00000X Hospitalist (Licence: NY 324048) | |
| Enumeration Date | 2020-04-14 |
| Last Update Date | 2024-04-24 |