NPI | 1952347296 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D0044394) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 310143) |
207P00000X Emergency Medicine (Licence: NC 2017-02034) | |
Enumeration Date | 2006-06-22 |
Last Update Date | 2019-02-27 |