NPI | 1205041308 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N3046) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301088309) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2022-12-30 |