NPI | 1184179178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 01096416A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 316821) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2025-07-22 |