NPI | 1467536854 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NJ 25MA08861400) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 11946) |
207P00000X Emergency Medicine (Licence: TX N0425) | |
Enumeration Date | 2006-10-24 |
Last Update Date | 2024-01-10 |