NPI | 1720234180 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 75302) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI MD15588) |
Enumeration Date | 2008-08-16 |
Last Update Date | 2024-06-24 |