NPI | 1881058170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME172462) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 302988) |
Enumeration Date | 2016-04-12 |
Last Update Date | 2025-06-03 |