| NPI | 1437317096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MA 243168) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 243168) |
| 207P00000X Emergency Medicine (Licence: PA MD437310) | |
| 207P00000X Emergency Medicine (Licence: NY 242500) | |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2018-12-18 |