NPI | 1598028094 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 75573) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125062299) |
Enumeration Date | 2012-06-19 |
Last Update Date | 2022-11-11 |