| NPI | 1750681581 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0080922) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 276038) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0080922) | |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2020-12-16 |