NPI | 1891930897 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS022512) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 252894-1) |
Enumeration Date | 2008-12-05 |
Last Update Date | 2023-08-31 |