NPI | 1801029657 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AR E-8248) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 4817) |
Enumeration Date | 2009-08-27 |
Last Update Date | 2022-12-02 |