| NPI | 1154421444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 190696) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 190696-1) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-03-07 |