| NPI | 1477534923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 2396721) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A71479) |
| 207P00000X Emergency Medicine (Licence: NY 239672) | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2023-07-05 |