| NPI | 1326072786 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01082507A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD425126) |
| 207P00000X Emergency Medicine (Licence: NY 247728) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-10-11 |