NPI | 1205881547 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NY 228690-1) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 228690) |
Enumeration Date | 2006-05-24 |
Last Update Date | 2024-09-04 |