| NPI | 1225394786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 295851) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD043300) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2021-12-29 |