| NPI | 1306082326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP60950652) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 245500) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2024-10-31 |