NPI | 1295078558 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 325880) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 2850541) |
207P00000X Emergency Medicine (Licence: NJ 25MB09944900) | |
Enumeration Date | 2013-04-04 |
Last Update Date | 2021-09-29 |