NPI | 1649477993 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 061550) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS11132) |
207P00000X Emergency Medicine (Licence: MO 2011033192) | |
Enumeration Date | 2007-06-29 |
Last Update Date | 2024-07-30 |