NPI | 1366934432 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0017024) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 323789) |
207P00000X Emergency Medicine (Licence: MA 275399) | |
Enumeration Date | 2018-06-04 |
Last Update Date | 2025-09-26 |