NPI | 1023339017 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 35405) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL 15339) |
Enumeration Date | 2010-06-14 |
Last Update Date | 2013-07-31 |