NPI | 1356390397 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 28274) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 28274) |
Enumeration Date | 2006-05-08 |
Last Update Date | 2024-05-22 |