An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Critical Care Medicine | 207RC0200X |
| Neonatal-Perinatal Medicine | 2080N0001X |
* Indicates primary specialty
| NPI Number | 1922014646 |
| Credentials | PA-C (Physician Assistant-Certified) |
| Entity | Individual |
| Enumeration date | 08/01/2006 |
| Last updated | 03/14/2025 - More than a year ago |
| Sole proprietor1 | No |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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