NPI | 1629495833 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 23560) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 51008) |
Enumeration Date | 2014-03-25 |
Last Update Date | 2023-07-13 |