NPI | 1164402731 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0066024) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101231736) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2025-04-25 |