NPI | 1619405917 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C2-0023891) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 319663) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2024-05-30 |