NPI | 1043626278 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 21218) |
Additional Taxonomies | 208D00000X General Practice (Licence: PR 13538-I) |
Enumeration Date | 2014-07-09 |
Last Update Date | 2019-11-19 |