NPI | 1164689501 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 267946) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 267946) |
Enumeration Date | 2008-05-22 |
Last Update Date | 2020-05-08 |