| NPI | 1922018019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 242690-1) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A84187) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-08-04 |