NPI | 1598197840 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 23355) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 56463) |
207P00000X Emergency Medicine (Licence: TX R4547) | |
Enumeration Date | 2013-08-08 |
Last Update Date | 2024-04-26 |