NPI | 1326209792 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 257784) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102203638) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2019-02-04 |