NPI | 1356760243 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 04-38784) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2018004967) |
Enumeration Date | 2014-04-08 |
Last Update Date | 2018-04-02 |