NPI | 1437739570 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME166159) |
Additional Taxonomies | 208D00000X General Practice (Licence: FL ME166159) |
Enumeration Date | 2021-04-13 |
Last Update Date | 2024-08-01 |