NPI | 1962723288 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P8707) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101018890) |
Enumeration Date | 2010-06-21 |
Last Update Date | 2024-09-19 |