| NPI | 1831610484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 177763) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 314183) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2024-10-15 |