| NPI | 1750543039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 273590) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A111372) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2023-05-30 |