NPI | 1588940472 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 2729021) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 2729021) |
Enumeration Date | 2011-10-24 |
Last Update Date | 2019-06-25 |