NPI | 1194163444 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301102628) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NM MD2017-0423) |
Enumeration Date | 2013-06-10 |
Last Update Date | 2019-01-11 |