NPI | 1922074624 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0053307) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KS 04-19213) |
Enumeration Date | 2006-02-23 |
Last Update Date | 2019-11-07 |