NPI | 1043208382 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 010132843) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D0026254) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2007-07-08 |