NPI | 1528179090 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD23778) |
Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: OR MD23778) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-02-16 |