| NPI | 1013336767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 289205) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology, Neurocritical Care (Licence: NY 289205) |
| 2086S0102X Surgery, Surgical Critical Care (Licence: NY 289205) | |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2023-03-29 |