NPI | 1760778963 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD219022) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301098647) |
Enumeration Date | 2011-06-26 |
Last Update Date | 2024-02-21 |