NPI | 1912294729 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD213144) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 274318) |
Enumeration Date | 2011-06-30 |
Last Update Date | 2022-09-22 |