NPI | 1568560746 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 333501) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD429196) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2025-07-01 |