| NPI | 1326274127 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 264364) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 241069) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2024-05-08 |