| NPI | 1083875900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 247501-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 247501) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2026-07-06 |