NPI | 1578543153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 12259) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 12259) |
Enumeration Date | 2006-01-19 |
Last Update Date | 2019-08-19 |