NPI | 1235209669 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-14657) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX k7952) |
Enumeration Date | 2006-11-09 |
Last Update Date | 2021-09-29 |