NPI | 1184081036 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP61438606) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 1700) |
Enumeration Date | 2016-01-23 |
Last Update Date | 2024-03-28 |