| NPI | 1235298977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A92951) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 2616) |
| 207P00000X Emergency Medicine (Licence: NY 304247) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2023-03-15 |