NPI | 1760567267 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 139578) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 139578) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2019-09-04 |