| NPI | 1508068552 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 242870) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A103429) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2024-06-06 |