| NPI | 1285605659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 10442) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 183415) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2010-11-29 |