| NPI | 1336433895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 27314) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 273535) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2016-06-22 |