NPI | 1386662302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS8460) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OS010305L) |
207P00000X Emergency Medicine (Licence: NH 24425) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2024-02-14 |