NPI | 1376574988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101238837) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2015-02138) |
Enumeration Date | 2006-07-05 |
Last Update Date | 2022-08-18 |