| NPI | 1659392215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 206273) |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: NY 206273) |
| 208M00000X Hospitalist (Licence: NY 206273) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-03-20 |