NPI | 1013446863 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S5126) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10061464) |
Enumeration Date | 2017-06-06 |
Last Update Date | 2020-07-31 |