NPI | 1902065535 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD152718) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 256569) |
Enumeration Date | 2008-06-09 |
Last Update Date | 2011-08-18 |