| NPI | 1295963254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A11888) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 262605) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2021-12-02 |