NPI | 1710349857 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 20025) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME MD2281) |
Enumeration Date | 2016-03-28 |
Last Update Date | 2023-10-20 |