NPI | 1003179151 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2015014472) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO BJH2012017417) |
Enumeration Date | 2012-06-22 |
Last Update Date | 2016-02-18 |