| NPI | 1881088482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 77250) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 314737) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 77250) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 314737) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2024-11-14 |