NPI | 1083683957 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD202822) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI 13553) |
207P00000X Emergency Medicine (Licence: WA MD44196) | |
Enumeration Date | 2006-03-14 |
Last Update Date | 2021-05-04 |