NPI | 1225561384 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S5811) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01083592A) |
Enumeration Date | 2017-04-06 |
Last Update Date | 2024-04-11 |