NPI | 1114159514 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 18231) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 44845) |
207P00000X Emergency Medicine (Licence: TX Q6325) | |
Enumeration Date | 2009-08-18 |
Last Update Date | 2024-04-10 |