NPI | 1902898240 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PP0204X Emergency Medicine Pediatric Emergency Medicine (Licence: NY 210776) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 210776) |
Enumeration Date | 2005-08-22 |
Last Update Date | 2015-05-26 |