NPI | 1811302854 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 67192.21) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125.06984) |
Enumeration Date | 2014-06-28 |
Last Update Date | 2018-03-17 |