NPI | 1134356652 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2018-00595) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 265460) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2022-10-12 |