NPI | 1588645683 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61360462) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 20667) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2023-10-12 |