| NPI | 1932399037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 0061545) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 252110) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2021-03-08 |