NPI | 1629168687 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0037722) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 010683) |
207P00000X Emergency Medicine (Licence: MI 5101012698) | |
207P00000X Emergency Medicine (Licence: WI 2920) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2024-10-18 |