NPI | 1730455767 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 282011-1) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD P28056) |
207P00000X Emergency Medicine (Licence: MD D0080519) | |
Enumeration Date | 2012-03-23 |
Last Update Date | 2016-10-13 |