NPI | 1578870796 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-11559) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301097209) |
Enumeration Date | 2010-09-09 |
Last Update Date | 2022-03-24 |