| NPI | 1184007635 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2022018046) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 344827) |
| 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MO 2022018046) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VT 042.0040298) | |
| 207P00000X Emergency Medicine (Licence: NY 344827) | |
| 207P00000X Emergency Medicine (Licence: VT 042.0040298) | |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2026-08-31 |