NPI | 1093459828 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX V1465) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10080031) |
Enumeration Date | 2022-04-27 |
Last Update Date | 2024-07-02 |