NPI | 1740296383 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME93862) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 54534) |
207P00000X Emergency Medicine (Licence: RI 16728) | |
Enumeration Date | 2006-08-01 |
Last Update Date | 2023-01-09 |