| NPI | 1932335833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 292577) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301095175) |
| 207P00000X Emergency Medicine (Licence: CA A124539) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2023-03-07 |