| NPI | 1336502103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 317348) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 317348) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2024-08-12 |