NPI | 1972564813 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 201140) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 201140) |
Enumeration Date | 2006-03-30 |
Last Update Date | 2023-06-20 |