NPI | 1902285331 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 61008) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 72344) |
Enumeration Date | 2015-05-18 |
Last Update Date | 2020-09-29 |