| NPI | 1033615570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 79220) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI DO1375) |
| 207P00000X Emergency Medicine (Licence: NY 310477) | |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2024-09-24 |