NPI | 1215296017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q7800) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01073423A) |
Enumeration Date | 2012-05-14 |
Last Update Date | 2020-02-13 |