NPI | 1760648646 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N9993) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 0510989) |
207P00000X Emergency Medicine (Licence: CA 20A15758) | |
Enumeration Date | 2008-07-31 |
Last Update Date | 2021-09-13 |