NPI | 1285804633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 49722) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MB08343400) |
Enumeration Date | 2008-03-01 |
Last Update Date | 2021-05-13 |