NPI | 1346361615 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: SC 83816) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 263824) |
207R00000X Internal Medicine (Licence: MA 263824) | |
Enumeration Date | 2007-04-03 |
Last Update Date | 2022-07-22 |