| NPI | 1275646069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 280057-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A83458) |
| 207P00000X Emergency Medicine (Licence: VA 0101230304) | |
| 207P00000X Emergency Medicine (Licence: GA 46226) | |
| 207R00000X Internal Medicine (Licence: CA A83548) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-07-20 |