NPI | 1447282165 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 17486) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA MD.202583) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2022-11-11 |