NPI | 1942838842 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 329099) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A201594) |
Enumeration Date | 2020-03-28 |
Last Update Date | 2025-09-16 |