NPI | 1538729066 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-19602) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT019423) |
207PT0002X Emergency Medicine, Medical Toxicology (Licence: AR E-19602) | |
207P00000X Emergency Medicine (Licence: AZ 010714) | |
Enumeration Date | 2019-06-17 |
Last Update Date | 2025-10-02 |