NPI | 1275973786 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME127802) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301103245) |
Enumeration Date | 2013-06-28 |
Last Update Date | 2022-05-19 |