NPI | 1841647732 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD61319016) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 287741) |
Enumeration Date | 2016-05-20 |
Last Update Date | 2022-11-10 |