NPI | 1447679170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 83236) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036142175) |
207P00000X Emergency Medicine (Licence: OH 34.013414) | |
Enumeration Date | 2014-04-09 |
Last Update Date | 2020-10-26 |