| NPI | 1215001557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D65854) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 235201) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2022-03-07 |