NPI | 1942466552 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 0000060009) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125054355) |
Enumeration Date | 2008-08-03 |
Last Update Date | 2022-03-30 |