NPI | 1538587258 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: HI MD20379) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0083191) |
207P00000X Emergency Medicine (Licence: WA MD60857817) | |
Enumeration Date | 2014-03-31 |
Last Update Date | 2019-10-22 |