NPI | 1104245430 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 68247-21) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101021412) |
Enumeration Date | 2014-04-15 |
Last Update Date | 2019-10-02 |