NPI | 1922494392 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A169634) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 298849) |
Enumeration Date | 2015-04-12 |
Last Update Date | 2024-04-18 |