NPI | 1871766899 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 263437) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NY 263437) |
Enumeration Date | 2008-04-10 |
Last Update Date | 2016-07-28 |