NPI | 1528095007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 24640) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 47165) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2023-11-09 |