NPI | 1275700361 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A129952) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA M0436567) |
207P00000X Emergency Medicine (Licence: NC AD3189380-KA10) | |
207P00000X Emergency Medicine (Licence: TX P9792) | |
Enumeration Date | 2008-05-08 |
Last Update Date | 2024-03-14 |