NPI | 1154564797 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: CO DR.0051945) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 237289) |
Enumeration Date | 2009-04-13 |
Last Update Date | 2021-07-01 |