| NPI | 1073846283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 269170) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD044128) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2016-09-27 |