NPI | 1275989048 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 82907) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2018-00036) |
Enumeration Date | 2016-05-10 |
Last Update Date | 2019-07-09 |