NPI | 1225004310 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 56606) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101015260) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2021-12-28 |