NPI | 1295185148 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 305227) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301511782) |
207P00000X Emergency Medicine (Licence: AZ 58148) | |
Enumeration Date | 2016-06-21 |
Last Update Date | 2024-04-15 |