NPI | 1215136627 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 52871) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301090711) |
Enumeration Date | 2007-07-16 |
Last Update Date | 2020-12-04 |