NPI | 1295963254 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A11888) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 262605) |
Enumeration Date | 2009-06-29 |
Last Update Date | 2021-12-02 |