NPI | 1013537216 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 23829) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 220972) |
207P00000X Emergency Medicine (Licence: AZ 68453) | |
Enumeration Date | 2020-04-17 |
Last Update Date | 2024-05-31 |