NPI | 1770813610 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P7135) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5315043109) |
Enumeration Date | 2009-12-27 |
Last Update Date | 2024-09-17 |