| NPI | 1619051612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 212443) |
| Additional Taxonomies | 174400000X Specialist |
| 207R00000X Internal Medicine (Licence: NY 212443) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-01-20 |