NPI | 1285012260 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 63900) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R10206) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2022-10-11 |