NPI | 1013594464 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 338436) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 1019452) |
Enumeration Date | 2021-03-24 |
Last Update Date | 2025-07-28 |