NPI | 1760641633 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 104004) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 251056) |
207P00000X Emergency Medicine (Licence: NE 28694) | |
Enumeration Date | 2008-06-05 |
Last Update Date | 2025-09-10 |