NPI | 1811375835 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY C2437) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX BP10053763) |
207P00000X Emergency Medicine (Licence: WA MD61329987) | |
Enumeration Date | 2015-05-11 |
Last Update Date | 2024-04-01 |