NPI | 1811929482 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 235651) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD428742) |
207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NY 235651) | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2022-05-31 |