| NPI | 1588940472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 2729021) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2729021) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2019-06-25 |