NPI | 1720172828 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 58525) |
Additional Taxonomies | 208600000X Surgery (Licence: IL 036-092633) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2023-11-16 |