NPI | 1215938113 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 37320) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01084391A) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2021-08-20 |