NPI | 1033375654 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101248234) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA MD440889) |
Enumeration Date | 2008-08-03 |
Last Update Date | 2011-08-16 |