| NPI | 1275794885 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME160487) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A121092) |
| 207P00000X Emergency Medicine | |
| 207P00000X Emergency Medicine (Licence: NY 2883733) | |
| 207P00000X Emergency Medicine (Licence: TN 53074) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2023-01-13 |