NPI | 1861837569 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX R9107) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI L2434744) |
Enumeration Date | 2013-05-08 |
Last Update Date | 2024-07-18 |