NPI | 1992150460 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX V2343) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME139023) |
Enumeration Date | 2016-05-03 |
Last Update Date | 2025-04-09 |