| NPI | 1346465333 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-20073) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 257266) |
| 207P00000X Emergency Medicine (Licence: RI LP00844) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2021-05-26 |