| NPI | 1245286673 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP00002288) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 220769) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-02-19 |