| NPI | 1629505474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 310566-01) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A183137) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2023-12-18 |