| NPI | 1356326573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 236858) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD19640) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2024-02-06 |