NPI | 1184669137 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 00012847) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GA 64891) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2025-07-17 |