| NPI | 1942241187 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY G86588) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G86588) |
| 207P00000X Emergency Medicine (Licence: CA G86588) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2010-04-16 |