NPI | 1659875003 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 68968) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 75578-21) |
207P00000X Emergency Medicine (Licence: SC Student) | |
Enumeration Date | 2018-03-21 |
Last Update Date | 2021-08-10 |