NPI | 1629163621 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35.090007) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 237813) |
207R00000X Internal Medicine (Licence: NY 237813) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2008-05-22 |