NPI | 1720281785 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61404786) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 3980) |
207P00000X Emergency Medicine (Licence: IN 01092842A) | |
207P00000X Emergency Medicine (Licence: OH 35.099340) | |
208000000X Pediatrics (Licence: OH 35.099340) | |
208000000X Pediatrics (Licence: IN 01092842A) | |
Enumeration Date | 2007-06-07 |
Last Update Date | 2024-04-22 |