NPI | 1356733182 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 94405) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 75490) |
Enumeration Date | 2015-03-03 |
Last Update Date | 2025-06-21 |