NPI | 1477935302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0014927) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MT208572) |
Enumeration Date | 2015-06-27 |
Last Update Date | 2020-09-21 |