NPI | 1114132255 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 059307) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AK 236496) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2025-08-15 |