NPI | 1538192869 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 000473) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 000473) |
Enumeration Date | 2006-07-09 |
Last Update Date | 2021-11-11 |