NPI | 1720279748 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX Q5800) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA PGY1.1-EKL) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2024-09-16 |