| NPI | 1881689867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 223016-1) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: NY 223016) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2010-09-28 |