| NPI | 1225048325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD28521) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 219027) |
| 207P00000X Emergency Medicine (Licence: CA G77147) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-08-23 |