NPI | 1467030924 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME162359) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CA 202640) |
207P00000X Emergency Medicine (Licence: TX V0426) | |
207P00000X Emergency Medicine (Licence: TN 70943) | |
207P00000X Emergency Medicine (Licence: MO 2023048811) | |
Enumeration Date | 2021-03-29 |
Last Update Date | 2025-10-04 |