NPI | 1447479092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C7-0003186) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 44307) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2025-01-03 |