| NPI | 1083634737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 252071) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 26010) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-07-22 |