NPI | 1124656863 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D97666) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 27167) |
207P00000X Emergency Medicine (Licence: ME MD23921) | |
Enumeration Date | 2020-03-30 |
Last Update Date | 2025-05-12 |