| NPI | 1174829261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 2899191) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 289919) |
| 207P00000X Emergency Medicine (Licence: CA A115590) | |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2018-04-11 |