| NPI | 1578950218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 304200) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 304200) |
| 207R00000X Internal Medicine (Licence: NY 304200) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2023-03-18 |