NPI | 1336341312 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81136-20) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY 9779A) |
207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: MI 4301086172) | |
Enumeration Date | 2007-06-02 |
Last Update Date | 2023-05-26 |