NPI | 1427002252 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME45942) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35082156S) |
207P00000X Emergency Medicine (Licence: GA 24100) | |
Enumeration Date | 2006-05-19 |
Last Update Date | 2024-09-23 |