NPI | 1043446404 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 39764) |
Additional Taxonomies | 208600000X Surgery (Licence: IA R-8629) |
Enumeration Date | 2009-05-29 |
Last Update Date | 2011-10-31 |