| NPI | 1427221852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME100523) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 265099) |
| 207R00000X Internal Medicine (Licence: FL ME 100523) | |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2018-08-30 |