NPI | 1568969723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL 166038) |
Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL 166038) |
Enumeration Date | 2018-04-12 |
Last Update Date | 2024-07-17 |