NPI | 1508882994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101242316) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 239720) |
Enumeration Date | 2006-07-15 |
Last Update Date | 2022-02-28 |