NPI | 1861535114 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 34148) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 42736) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2023-03-07 |