| NPI | 1437117264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 175742) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 175742) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2025-03-12 |