| NPI | 1952560575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 248843) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD19929) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2024-08-20 |