NPI | 1205888187 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0057813) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA07890600) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2024-08-15 |