NPI | 1366065955 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME DO3758) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP04961) |
Enumeration Date | 2020-05-19 |
Last Update Date | 2024-06-19 |