NPI | 1619473204 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 21143) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 32129) |
207P00000X Emergency Medicine (Licence: NV 2114) | |
Enumeration Date | 2018-04-02 |
Last Update Date | 2023-08-09 |