NPI | 1063438521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 229567) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 227651) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2020-08-24 |