| NPI | 1972814994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 279830) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 279830) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2016-05-31 |