NPI | 1972560019 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX J1348) |
Additional Taxonomies | 208D00000X General Practice (Licence: TX J1348) |
Enumeration Date | 2006-05-01 |
Last Update Date | 2023-02-21 |