NPI | 1073787867 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NM MD2011-0167) |
Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: NM MD2011-0167) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2024-10-29 |