NPI | 1043716418 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61126162) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125073331) |
Enumeration Date | 2018-04-03 |
Last Update Date | 2024-05-03 |