NPI | 1447665542 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 23431) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 65277) |
Enumeration Date | 2014-06-26 |
Last Update Date | 2021-04-07 |