NPI | 1295950277 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 56611) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI MD13269) |
207P00000X Emergency Medicine (Licence: RI LP00808) | |
207P00000X Emergency Medicine (Licence: MN 106826) | |
Enumeration Date | 2007-04-16 |
Last Update Date | 2020-10-08 |