NPI | 1205853892 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M1771) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AR E-4013) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2024-09-17 |