NPI | 1952314916 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 030158) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 030158) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2022-05-19 |