| NPI | 1518278266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 1518278266) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 207P00000X) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2021-12-06 |