| NPI | 1942838842 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 329099) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A201594) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2025-09-16 |