NPI | 1952440315 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 25864) |
Additional Taxonomies | 208D00000X General Practice (Licence: SC 25864) |
Enumeration Date | 2007-02-05 |
Last Update Date | 2020-10-29 |