NPI | 1386722825 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 250728) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A92099) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2018-08-09 |