NPI | 1205099157 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA MD.205940) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS AU5009697-1291) |
Enumeration Date | 2008-07-09 |
Last Update Date | 2021-01-06 |