NPI | 1023105103 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 177446) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 177446) |
Enumeration Date | 2006-10-09 |
Last Update Date | 2011-10-31 |