NPI | 1154558674 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2014018767) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 05-39086) |
Enumeration Date | 2009-06-11 |
Last Update Date | 2024-08-02 |