| NPI | 1205219425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 286198) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 286198) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-09-16 |