NPI | 1902368996 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD209552) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: UT 11898964-1205) |
Enumeration Date | 2019-04-01 |
Last Update Date | 2022-10-28 |