| NPI | 1700291580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 92591) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 292066) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 292066) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2024-09-23 |