NPI | 1659658128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX U9812) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 274266) |
Enumeration Date | 2011-11-10 |
Last Update Date | 2024-08-09 |