| NPI | 1689737728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 233549) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 233549) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-06-25 |