| NPI | 1568693760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A115690) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 270629) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2024-10-30 |