NPI | 1922042597 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 225600) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 225600) |
Enumeration Date | 2006-06-15 |
Last Update Date | 2025-06-17 |