NPI | 1427133537 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 001880) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 249402) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2023-05-09 |