NPI | 1841711959 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2021014796) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101023483) |
Enumeration Date | 2017-06-28 |
Last Update Date | 2021-07-21 |