NPI | 1437180338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME94320) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2007016523) |
207P00000X Emergency Medicine (Licence: KS 04-32631) | |
207P00000X Emergency Medicine (Licence: KY 61022) | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2025-09-15 |