NPI | 1902199706 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101253640) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0092404) |
207P00000X Emergency Medicine (Licence: TX S1509) | |
Enumeration Date | 2011-05-26 |
Last Update Date | 2024-10-14 |