| NPI | 1457366247 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 295440) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 20A9587) |
| 207P00000X Emergency Medicine (Licence: CA 20A8587) | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2018-09-12 |