| NPI | 1285896068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 254434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 254434) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2023-12-13 |