NPI | 1245407592 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO CDRH.0048323) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 2419) |
Enumeration Date | 2008-05-14 |
Last Update Date | 2024-10-03 |