| NPI | 1518499706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD18867) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 304072) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2026-02-13 |