| NPI | 1043446081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 262255) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 264208) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2018-10-17 |