| NPI | 1992719900 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086H0002X Surgery, Hospice and Palliative Medicine (Licence: NY 165853) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 165853) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2018-08-27 |