| NPI | 1629249727 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 247962) |
| Additional Taxonomies | 2084A2900X Psychiatry & Neurology Neurocritical Care (Licence: NY 247962) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2016-11-07 |