| NPI | 1033125299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G49906) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 2645) |
| 207P00000X Emergency Medicine (Licence: NY 320064) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-01-31 |