NPI | 1295752749 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2000146631) |
Additional Taxonomies | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: MO 2000146631) |
208D00000X General Practice (Licence: MO 2000146631) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2021-12-20 |