NPI | 1194768903 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 111636) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 111636) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2022-07-29 |