| NPI | 1447570692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME DO2596) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10038608) |
| 207P00000X Emergency Medicine (Licence: NY 272278) | |
| 207P00000X Emergency Medicine (Licence: NH 16102) | |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2016-08-19 |