| NPI | 1396088571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 292055) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 70765) |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2023-10-06 |