| NPI | 1346536778 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 276342) | 
| Additional Taxonomies | 207ZC0008X Pathology, Clinical Informatics Specialist (Licence: NY 276342) | 
| Enumeration Date | 2011-06-23 | 
| Last Update Date | 2022-05-19 |