NPI | 1659867562 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS19094) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA OT018874) |
Enumeration Date | 2018-07-03 |
Last Update Date | 2022-08-01 |