NPI | 1669459657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101238611) |
Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101238611) |
Enumeration Date | 2005-12-29 |
Last Update Date | 2024-06-24 |