NPI | 1023576006 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301504884) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4351045659) |
Enumeration Date | 2019-03-07 |
Last Update Date | 2022-06-28 |