NPI | 1043884398 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX BP10075306) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX U1305) |
Enumeration Date | 2021-05-19 |
Last Update Date | 2023-03-31 |