NPI | 1376508010 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A105987) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 235903) |
Enumeration Date | 2006-04-18 |
Last Update Date | 2017-12-19 |