NPI | 1962686089 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 2009-00383) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: NC 2009-00383) |
Enumeration Date | 2007-12-26 |
Last Update Date | 2022-11-02 |