NPI | 1720159726 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 183239) |
Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: NY 183239) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2008-06-12 |