NPI | 1992939953 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 269651-1) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 60842-20) |
Enumeration Date | 2009-05-06 |
Last Update Date | 2016-08-09 |