NPI | 1750811337 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 57172) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 22340) |
207P00000X Emergency Medicine (Licence: IN 01088597A) | |
Enumeration Date | 2017-06-15 |
Last Update Date | 2022-10-03 |