NPI | 1447306030 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD156121) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX P9815) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2022-12-06 |