NPI | 1225038649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101245805) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D58109) |
Enumeration Date | 2005-07-28 |
Last Update Date | 2022-01-11 |