NPI | 1083025134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q5722) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10050385) |
Enumeration Date | 2014-05-12 |
Last Update Date | 2022-07-21 |