| NPI | 1144273228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 235578) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102201884) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2012-07-02 |