NPI | 1881652808 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME173110) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 219339) |
207P00000X Emergency Medicine (Licence: CT 045548) | |
Enumeration Date | 2006-05-01 |
Last Update Date | 2025-08-15 |