| NPI | 1467443234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A55107) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 2696) |
| 207P00000X Emergency Medicine (Licence: NY 320755) | |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2023-01-30 |