| NPI | 1669037891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 327703-01) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM md2023-1184) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2024-07-31 |