NPI | 1851321848 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 63574) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 33142) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2019-02-14 |