NPI | 1326454950 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV ED0445A) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD H0102221) |
Enumeration Date | 2014-07-03 |
Last Update Date | 2025-08-06 |