NPI | 1194302828 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS20042) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 34.017160) |
Enumeration Date | 2021-03-27 |
Last Update Date | 2024-10-30 |