NPI | 1588242671 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ND 20980) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 71922) |
207P00000X Emergency Medicine (Licence: MN 31615) | |
Enumeration Date | 2021-03-30 |
Last Update Date | 2024-08-01 |