NPI | 1922049113 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA 20A9237) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI DO00669) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2021-12-01 |