NPI | 1174762397 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 54360-21) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 52859) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2019-05-10 |