NPI | 1811458649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D94179) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 81282-20) |
Enumeration Date | 2019-03-26 |
Last Update Date | 2024-03-22 |