NPI | 1316261043 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 129449) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NV 14673) |
Enumeration Date | 2010-03-24 |
Last Update Date | 2023-03-10 |