NPI | 1790988582 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 50908) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 20868) |
207P00000X Emergency Medicine (Licence: GA 71607) | |
207P00000X Emergency Medicine (Licence: VA 0101283604) | |
Enumeration Date | 2007-06-08 |
Last Update Date | 2024-12-17 |