NPI | 1962949842 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NE 31208) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD61335948) |
Enumeration Date | 2017-01-30 |
Last Update Date | 2023-02-16 |