| NPI | 1083874366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 246744) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA C163053) |
| 207P00000X Emergency Medicine (Licence: NY 246744) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD459528) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C163053) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2023-09-12 |