| NPI | 1326075748 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 246719-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2006-00604) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2013-04-15 |