NPI | 1760046833 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 292085) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C1-0027192) |
Enumeration Date | 2019-04-24 |
Last Update Date | 2025-03-26 |