NPI | 1962768606 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL 1867) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102204681) |
207P00000X Emergency Medicine (Licence: PA OS016718) | |
Enumeration Date | 2012-04-06 |
Last Update Date | 2018-09-27 |