NPI | 1821616772 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME161700) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 340977) |
Enumeration Date | 2020-07-08 |
Last Update Date | 2024-04-22 |