NPI | 1164450110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 211189) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 211189) |
208000000X Pediatrics (Licence: NY 211189) | |
Enumeration Date | 2006-06-29 |
Last Update Date | 2007-08-09 |