NPI | 1952481723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ND 7555) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: ND 7555) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2023-12-26 |