NPI | 1083174486 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 87205) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 326275) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2025-05-06 |