| NPI | 1598870842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MA 229638) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 247294) |
| 208000000X Pediatrics (Licence: NY 247294) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2023-07-06 |