NPI | 1659996221 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 81197) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5151014336) |
Enumeration Date | 2020-06-10 |
Last Update Date | 2024-01-17 |