| NPI | 1952544009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 110427) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 255890-1) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 255890) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 110427) | |
| Enumeration Date | 2009-04-18 |
| Last Update Date | 2026-02-11 |