NPI | 1669676292 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 53232) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301087983) |
Enumeration Date | 2007-06-14 |
Last Update Date | 2021-06-17 |