| NPI | 1346290772 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A78285) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 2630) |
| 207P00000X Emergency Medicine (Licence: NY 320098) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-03-15 |