| NPI | 1437250198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 17955) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 261418) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2023-06-30 |