| NPI | 1831755396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 327475) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NY 327475) |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2026-04-07 |