| NPI | 1700978657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 16473) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 241953) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2014-12-16 |