NPI | 1265666085 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.30752) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME 114660) |
207P00000X Emergency Medicine (Licence: NC 2016-00905) | |
Enumeration Date | 2009-05-07 |
Last Update Date | 2024-01-20 |