NPI | 1114347416 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 283519) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 269719) |
Enumeration Date | 2014-04-24 |
Last Update Date | 2019-09-03 |