NPI | 1649665233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 273956) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 322459) |
Enumeration Date | 2015-04-01 |
Last Update Date | 2023-11-15 |