NPI | 1245610203 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 69993) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA r-10321) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2021-09-13 |