NPI | 1679872485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0058067) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0077267) |
Enumeration Date | 2011-03-18 |
Last Update Date | 2024-06-09 |