| NPI | 1144305632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD16011) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 215206) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-03-02 |