NPI | 1548792153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.40930) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2018-02101) |
Enumeration Date | 2017-04-02 |
Last Update Date | 2021-01-12 |