| NPI | 1972814481 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 267004) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 267004) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2024-12-16 |