NPI | 1720227440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 250435) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NY 250435) |
Enumeration Date | 2009-02-19 |
Last Update Date | 2020-12-15 |