NPI | 1477710820 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 252680) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A110514) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2012-08-03 |