NPI | 1558757674 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 70743) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AL 36923) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2022-06-30 |