| NPI | 1417058363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 206286) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound (Licence: NY 206286) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-07-21 |