NPI | 1023048485 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042-0011316) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NH 13130) |
207P00000X Emergency Medicine (Licence: MI 4301079898) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2007-08-21 |