NPI | 1972746998 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 05-40757) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2013044282) |
Enumeration Date | 2009-04-07 |
Last Update Date | 2019-04-05 |