NPI | 1932581451 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0061500) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101021807) |
Enumeration Date | 2015-06-20 |
Last Update Date | 2024-05-15 |