| NPI | 1588082390 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 303571-01) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A155291) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2023-07-27 |