NPI | 1013216571 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 262276) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 262276) |
Enumeration Date | 2011-03-23 |
Last Update Date | 2015-11-05 |