| NPI | 1225392657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 283012) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A15047) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2025-05-14 |