NPI | 1699885277 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 39606) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101256119) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2024-05-10 |