NPI | 1467453258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 02310) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 02006148A) |
Enumeration Date | 2005-08-03 |
Last Update Date | 2021-06-02 |