| NPI | 1881868297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301106430) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 242415) |
| 207P00000X Emergency Medicine (Licence: NY 247021) | |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2014-11-20 |