| NPI | 1487814737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 236541) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 18108) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2023-04-03 |