| NPI | 1427586346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MD491758C) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME140907) |
| 207P00000X Emergency Medicine (Licence: FL ME140907) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 331569) | |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2026-03-27 |