NPI | 1033161872 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ME EL181033) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 085922) |
Enumeration Date | 2006-05-17 |
Last Update Date | 2016-08-09 |