NPI | 1770937286 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NV 26327) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 308686) |
207P00000X Emergency Medicine (Licence: TN 69524) | |
Enumeration Date | 2016-04-20 |
Last Update Date | 2024-12-18 |