NPI | 1437149937 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 45772) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 45680) |
Enumeration Date | 2005-10-26 |
Last Update Date | 2020-10-08 |