| NPI | 1457796278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 305703) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A143298) |
| 207P00000X Emergency Medicine (Licence: MD D97224) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2023-11-21 |