| NPI | 1124550470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A158372) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 309609) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-08-25 |