NPI | 1316148836 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD27693) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101240270) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2025-08-04 |