NPI | 1114506037 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 41661) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX T9700) |
Enumeration Date | 2021-04-07 |
Last Update Date | 2024-11-25 |