NPI | 1952340689 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 40085) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 66215-20) |
207P00000X Emergency Medicine (Licence: CO DR 0052329) | |
207P00000X Emergency Medicine (Licence: OR MD22459) | |
Enumeration Date | 2006-06-06 |
Last Update Date | 2024-06-14 |