NPI | 1912029141 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 58776) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301083984) |
207P00000X Emergency Medicine (Licence: WI 51625) | |
207P00000X Emergency Medicine (Licence: AZ 50155) | |
Enumeration Date | 2007-04-06 |
Last Update Date | 2020-09-10 |