NPI | 1174815955 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2015014045) |
Additional Taxonomies | 208600000X Surgery (Licence: OK 28647) |
Enumeration Date | 2011-05-11 |
Last Update Date | 2018-06-28 |