NPI | 1942060363 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 80374) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 34223) |
Enumeration Date | 2024-03-21 |
Last Update Date | 2025-07-29 |