NPI | 1427477447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 270249) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 270249) |
Enumeration Date | 2014-04-08 |
Last Update Date | 2022-07-21 |