| NPI | 1831726751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: RI MD21294) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: RI MD21294) |
| 207P00000X Emergency Medicine (Licence: NY 328912-01) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 328912-01) | |
| 207P00000X Emergency Medicine (Licence: CA A207704) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A207704) | |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2026-08-19 |