| NPI | 1821073198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA a96148) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 232556) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2008-09-24 |