| NPI | 1386722825 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 250728) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A92099) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-08-09 |