NPI | 1407080450 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 274025) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA A113658) |
207R00000X Internal Medicine (Licence: CA A113658) | |
Enumeration Date | 2009-05-05 |
Last Update Date | 2024-04-29 |