NPI | 1043294101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: UT 8921077-1205) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 32565020) |
207P00000X Emergency Medicine (Licence: NM MD2014-0811) | |
Enumeration Date | 2005-12-02 |
Last Update Date | 2022-01-17 |