| NPI | 1730127242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 65265) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 262696) |
| 207P00000X Emergency Medicine (Licence: CA C172958) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2024-03-17 |