NPI | 1730384827 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042-0012057) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 244610) |
207P00000X Emergency Medicine (Licence: HI MD-14525) | |
207P00000X Emergency Medicine (Licence: NJ 25MA08663800) | |
Enumeration Date | 2007-06-19 |
Last Update Date | 2010-09-09 |