NPI | 1831346733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301102323) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD441036) |
2083A0300X Preventive Medicine, Addiction Medicine (Licence: MI 4301102323) | |
Enumeration Date | 2008-08-21 |
Last Update Date | 2023-01-24 |