NPI | 1609036094 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 261263) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU EMTL-2022-008) |
Enumeration Date | 2008-06-10 |
Last Update Date | 2022-03-29 |