| NPI | 1336345156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 243905) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A116146) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2021-03-16 |