NPI | 1619994175 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 36033) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 36033) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2018-12-12 |