NPI | 1487145025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2022017307) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101025843) |
207P00000X Emergency Medicine (Licence: KS 05-46168) | |
207P00000X Emergency Medicine (Licence: MI 5101023948) | |
Enumeration Date | 2018-05-18 |
Last Update Date | 2024-10-11 |