NPI | 1548274343 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101042360) |
Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: SC 021585) |
207P00000X Emergency Medicine (Licence: SC 14843) | |
Enumeration Date | 2006-07-28 |
Last Update Date | 2021-02-27 |