The city Medical Examiner has ruled the death of a man — who was in a physical struggle with police while in custody in the Bronx in late-January — a homicide.

The Medical Examiner said Tuesday afternoon that Dwayne Pritchett's cause of death was suffocation of an intoxicated individual.

Officials said the 48-year-old had multiple drugs in his system, including heroin, fentanyl, and cocaine, during the Jan. 28 confrontation at an apartment on Reservoir Ave. in the Kingsbridge Heights section of the Bronx.

Pritchett also had heart disease and food in his throat — both considered significant contributing factors to his death, the Medical Examiner said.

The Medical Examiner's homicide ruling isn't a criminal charge.

Investigation underway after Bronx man dies in police custody

Police officers had responded to a call of an emotionally disturbed person at the apartment. They said that's where a father said his son, Pritchett, would not come out of his room.

Pritchett opened the door and officers handcuffed him after finding a handgun magazine on the floor, according to officials.

Police said officers subdued and handcuffed Pritchett and that at some point during the confrontation, Pritchett tried to grab an officer's gun.

Police said Pritchett was taken to another room, where he lost consciousness. EMS then tried to revive him.

Pritchett's girlfriend, Alotisia Stevens, said detectives told her he reached for the gun after he was handcuffed, which she said makes no sense.

"So if I'm like this, detained in handcuffs, at what — how am I able to grab your gun?" Stevens said, demonstrating.

Friends have also questioned why Pritchett was brought to NewYork-Presbyterian The Allen Hospital and not a closer facility.

The Manhattan hospital actually is the same distance from the apartment as Bronx-Lebanon Hospital. However, a VA hospital is even closer.

The father and son's elderly roommate said he witnessed the chaotic scene. He told NY1 that the younger Pritchett had his hands cuffed behind his back when he passed out in the living room. He added that he didn't blame police for Pritchett's death.

"I don't blame them, because I'm for police," said Harmen Garment, Pritchett's roommate. "Maybe they could have gotten him to the hospital sooner? I couldn't answer that."

"He was drinking every day, all day. And drugging and drinking? That's complications," Garment said.

Police said they found a gun and drug paraphernalia in Pritchett's bedroom.

The case had been assigned to the NYPD's Force Investigation Division.