NPI | 1518374883 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME134981) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 31403-R) |
Enumeration Date | 2014-07-17 |
Last Update Date | 2021-03-26 |