| NPI | 1558388181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 211543) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CT 047951) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-08-02 |