NPI | 1295155596 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101020957) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 68361-21) |
Enumeration Date | 2014-04-24 |
Last Update Date | 2024-02-12 |