NPI | 1548765126 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME163364) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.137322) |
207P00000X Emergency Medicine (Licence: KS 04-45848) | |
Enumeration Date | 2018-03-27 |
Last Update Date | 2024-03-11 |