NPI | 1508122276 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A141177) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C1-0011345) |
Enumeration Date | 2012-04-07 |
Last Update Date | 2020-02-05 |