NPI | 1740784974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 63648) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2021006554) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2021-10-06 |