| NPI | 1699935189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A112623) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 247646) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2022-12-12 |