NPI | 1124680335 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 91238) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX 697333) |
Enumeration Date | 2019-07-08 |
Last Update Date | 2024-09-05 |