NPI | 1558855098 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 63226) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 52542) |
Enumeration Date | 2018-06-19 |
Last Update Date | 2021-05-25 |