| NPI | 1114422797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A176677) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 320244) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2023-06-29 |