NPI | 1144251752 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 220141) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD423338) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2012-05-31 |