NPI | 1548496052 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0062736) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OR 170273) |
207P00000X Emergency Medicine (Licence: CO MD62736) | |
Enumeration Date | 2009-06-10 |
Last Update Date | 2023-02-22 |