NPI | 1093026858 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 46144) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL32875) |
Enumeration Date | 2010-06-27 |
Last Update Date | 2021-03-03 |