| NPI | 1508088659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT CT050321) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 234863-1) |
| 207P00000X Emergency Medicine (Licence: RI MD13293) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-03-25 |