NPI | 1164044673 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101027257) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151014511) |
Enumeration Date | 2020-05-07 |
Last Update Date | 2023-08-03 |