| NPI | 1407067168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A100433) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 234413) |
| 207P00000X Emergency Medicine (Licence: CO 44775) | |
| 207P00000X Emergency Medicine (Licence: NV 12330) | |
| 207P00000X Emergency Medicine (Licence: TX M7408) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-10-19 |