NPI | 1841427077 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101262581) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D74637) |
Enumeration Date | 2009-06-15 |
Last Update Date | 2022-07-21 |