| NPI | 1851534010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 270412-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35098524) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: NY 270412) | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2023-07-07 |