| NPI | 1982233508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 080154) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 334154) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 334154) | |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2025-02-13 |