NPI | 1316914740 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 130191) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME107266) |
207P00000X Emergency Medicine (Licence: HI 15628) | |
Enumeration Date | 2006-03-03 |
Last Update Date | 2011-10-04 |