NPI | 1881002129 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WI 69787) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY R3458) |
207P00000X Emergency Medicine (Licence: KY TP978) | |
Enumeration Date | 2014-07-30 |
Last Update Date | 2018-08-15 |