| NPI | 1902394075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 312974) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 312974) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2025-08-08 |