NPI | 1356330005 |
---|---|
Other Name | TODD LAWRENCE ENGDAHL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-14230) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036113579) |
207P00000X Emergency Medicine (Licence: OH 036113579) | |
207P00000X Emergency Medicine (Licence: KY 35101) | |
Enumeration Date | 2005-10-17 |
Last Update Date | 2021-09-08 |