NPI | 1982622304 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2002020202) |
Additional Taxonomies | 208D00000X General Practice (Licence: MO 2002020202) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2024-06-18 |