| NPI | 1285890269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2008-0464) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NM MD2008-0464) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |