| NPI | 1336187657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 212407) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME0071070) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-11-12 |