NPI | 1306873716 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC MD94699) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 220753) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2025-08-19 |