| NPI | 1629225479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 265333) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A110267) |
| 207P00000X Emergency Medicine (Licence: FL 117668) | |
| Enumeration Date | 2008-08-23 |
| Last Update Date | 2015-01-30 |