| NPI | 1679830897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 266866) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 266866) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2022-10-27 |