NPI | 1316633365 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX BP10083798) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX V9581) |
Enumeration Date | 2023-04-13 |
Last Update Date | 2025-07-18 |