NPI | 1902944226 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 200110) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 200110) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2008-11-13 |