| NPI | 1205369022 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 193925) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 304816) |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2024-05-13 |