NPI | 1336126408 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 39044) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 36395) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2022-02-07 |