NPI | 1568806842 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2016011923) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-38864) |
Enumeration Date | 2013-04-17 |
Last Update Date | 2021-06-29 |