NPI | 1427403385 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX S1179) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 007668) |
Enumeration Date | 2016-04-28 |
Last Update Date | 2019-07-18 |