NPI | 1336677566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PH0002X Emergency Medicine Hospice and Palliative Medicine (Licence: AZ 008455) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101024531) |
Enumeration Date | 2017-06-01 |
Last Update Date | 2024-02-12 |