NPI | 1528448024 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA OP61389308) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI DOS-2053) |
207P00000X Emergency Medicine (Licence: GA 00009098) | |
Enumeration Date | 2015-06-01 |
Last Update Date | 2024-03-29 |