NPI | 1720468101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID O-1169) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-10301) |
Enumeration Date | 2015-06-01 |
Last Update Date | 2018-07-03 |