NPI | 1245506229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-37894) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2014004835) |
Enumeration Date | 2012-03-23 |
Last Update Date | 2018-05-16 |