NPI | 1437654720 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 310257) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU MTL-2025-006) |
Enumeration Date | 2018-03-28 |
Last Update Date | 2025-06-12 |