NPI | 1043263247 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 212555) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA07248300) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2018-01-11 |