NPI | 1023278900 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P0546) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125054665) |
Enumeration Date | 2008-06-13 |
Last Update Date | 2014-01-15 |