| NPI | 1427345917 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD-22639) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 277749) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2022-07-20 |