NPI | 1043521123 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME115272) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 900101960) |
Enumeration Date | 2010-06-23 |
Last Update Date | 2013-10-17 |