NPI | 1013478437 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 71332) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 74142) |
Enumeration Date | 2019-03-28 |
Last Update Date | 2024-04-18 |