| NPI | 1841308210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 247019-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 247019) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2023-07-06 |