NPI | 1811330442 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 60419) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 66385) |
Enumeration Date | 2013-04-13 |
Last Update Date | 2021-05-07 |