NPI | 1619592789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE DR-0026144) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT020203) |
207P00000X Emergency Medicine (Licence: MD H0100911) | |
Enumeration Date | 2020-06-14 |
Last Update Date | 2024-06-25 |