| NPI | 1447830757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 27687) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 328927) |
| Enumeration Date | 2021-04-11 |
| Last Update Date | 2025-09-23 |