NPI | 1558510248 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A126358) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0072607) |
207P00000X Emergency Medicine (Licence: VA 0101246777) | |
207P00000X Emergency Medicine (Licence: NY 247654) | |
Enumeration Date | 2008-09-17 |
Last Update Date | 2019-05-29 |