NPI | 1700866126 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AK 100432) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 46504-020) |
207P00000X Emergency Medicine (Licence: FL ME98908) | |
Enumeration Date | 2006-01-20 |
Last Update Date | 2020-10-07 |