| NPI | 1699017111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 300325) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A150092) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2022-12-07 |