NPI | 1902942808 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D70275) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101240565) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2022-01-10 |