| NPI | 1700068756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA C173323) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 60243210) |
| Enumeration Date | 2007-12-01 |
| Last Update Date | 2024-01-08 |