| NPI | 1346325479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 71336) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD429913) |
| 207P00000X Emergency Medicine (Licence: NY 243463-1) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2023-08-03 |