NPI | 1225411572 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME134308) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 311202) |
Enumeration Date | 2015-07-06 |
Last Update Date | 2022-10-26 |