NPI | 1619388592 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2018008646) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101020996) |
Enumeration Date | 2014-05-14 |
Last Update Date | 2018-07-31 |