| NPI | 1447437876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 257053) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI L1642312) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2022-10-28 |