| NPI | 1013359322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D81855) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A134748) |
| 207P00000X Emergency Medicine (Licence: NY 291304) | |
| Enumeration Date | 2013-07-28 |
| Last Update Date | 2018-07-30 |