| NPI | 1922316744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 271547) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD460588) |
| 207P00000X Emergency Medicine (Licence: FL ME168062) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME168062) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2025-07-08 |