NPI | 1275701138 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301087958) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 253080) |
Enumeration Date | 2008-02-13 |
Last Update Date | 2021-03-09 |