| NPI | 1588926588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 97135) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 271968) |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2023-10-23 |