NPI | 1407945033 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 154437-1) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 154437) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2023-03-07 |