NPI | 1053513499 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO 2009003438) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301087626) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2013-05-16 |