| NPI | 1073548467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 50215) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 218103) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2013-05-28 |