| NPI | 1033670252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 316975) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A184747) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2023-10-27 |