NPI | 1801022298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME112883) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125-056358) |
Enumeration Date | 2009-05-31 |
Last Update Date | 2022-07-11 |