NPI | 1457593063 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C2-0011545) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN DO0000002690) |
Enumeration Date | 2009-03-27 |
Last Update Date | 2019-09-03 |