NPI | 1437257854 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 014420) |
Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: LA 014420) |
208VP0000X (Licence: LA 014420) | |
Enumeration Date | 2006-09-20 |
Last Update Date | 2025-09-11 |