| NPI | 1841272077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 0050547) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 28801) |
| 207P00000X Emergency Medicine (Licence: NY 119245) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-07-08 |