NPI | 1609332428 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 2297) |
Additional Taxonomies | 208D00000X General Practice (Licence: NE 2297) |
Enumeration Date | 2019-02-17 |
Last Update Date | 2024-07-03 |