| NPI | 1467911255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 310686) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2022020020) |
| 207P00000X Emergency Medicine (Licence: NY 310686) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2022020020) | |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2024-06-18 |