| NPI | 1457384000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 210148) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01077043A) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2025-10-22 |