| NPI | 1700037884 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 249478) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA C146274) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2024-08-15 |