| NPI | 1285950253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A132658) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 275291) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2015-04-01 |