NPI | 1194762625 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 042042) |
Additional Taxonomies | 208D00000X General Practice (Licence: GA 42042) |
Enumeration Date | 2006-06-01 |
Last Update Date | 2024-05-07 |