| NPI | 1740440676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME MD18445) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 252695) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2013-12-02 |