NPI | 1245855154 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC LL84407) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 76114) |
Enumeration Date | 2020-06-16 |
Last Update Date | 2025-07-02 |