NPI | 1932251188 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL MD.5955) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL MD.5955) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2024-04-06 |