NPI | 1497705701 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WV 18510) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DC MD21705) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2023-03-07 |