NPI | 1003041187 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 260606) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NY 260606) |
Enumeration Date | 2009-05-19 |
Last Update Date | 2024-01-24 |