NPI | 1932270758 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 43637) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY 6867A) |
Enumeration Date | 2006-11-13 |
Last Update Date | 2020-10-07 |