NPI | 1164730164 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 269132) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 269132) |
Enumeration Date | 2010-09-24 |
Last Update Date | 2016-07-20 |