NPI | 1659718567 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 53916) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 255454) |
Enumeration Date | 2013-05-31 |
Last Update Date | 2022-07-21 |