NPI | 1407243454 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 34726) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX R4179) |
Enumeration Date | 2015-04-16 |
Last Update Date | 2019-07-15 |