NPI | 1336482488 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 68554-20) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 62027) |
Enumeration Date | 2013-03-27 |
Last Update Date | 2019-05-10 |