NPI | 1033313515 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 46804) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 44109) |
Enumeration Date | 2007-06-11 |
Last Update Date | 2015-06-08 |