| NPI | 1245792829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DC MD600001863) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 315097) |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2024-10-01 |