NPI | 1154584043 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD H0074093) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB08295200) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2014-07-10 |