NPI | 1720217631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D76556) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD442760) |
Enumeration Date | 2009-07-13 |
Last Update Date | 2024-04-02 |