NPI | 1417516998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 319178) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 319178-01) |
Enumeration Date | 2019-06-10 |
Last Update Date | 2022-11-07 |