NPI | 1477707685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60247504) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 7471598-1205) |
Enumeration Date | 2008-11-14 |
Last Update Date | 2024-10-23 |