NPI | 1275567521 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME141217) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 207618-1) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2022-12-20 |