NPI | 1104951292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D66035) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C7-0002946) |
Enumeration Date | 2007-02-22 |
Last Update Date | 2021-06-23 |