NPI | 1497794051 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 89758) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ MA59348) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2024-04-18 |