NPI | 1558941179 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: AZ 011567) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS20414) |
Enumeration Date | 2021-04-08 |
Last Update Date | 2025-07-01 |