NPI | 1740293380 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 48956) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 233926) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2020-10-08 |