| NPI | 1689964843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 272027) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 272027) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2016-05-25 |