| NPI | 1477628014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A102949) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 239903) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-12-20 |