| NPI | 1235301318 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 265759) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME148415) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2024-09-27 |