| NPI | 1972532976 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 204140-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 204141) |
| 208M00000X Hospitalist (Licence: NY 204141) | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2023-10-03 |