| NPI | 1043531866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 269576) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME120713) |
| 207P00000X Emergency Medicine (Licence: WA MD60484279) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2016-04-22 |