NPI | 1740443407 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MT 35347) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ R70587) |
207P00000X Emergency Medicine (Licence: OR MD154407) | |
Enumeration Date | 2008-07-02 |
Last Update Date | 2022-01-24 |