NPI | 1023269172 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N8874) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 7150810-1205) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2023-09-27 |