| NPI | 1366451866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 49241) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 7129) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2014-11-26 |