NPI | 1053528844 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS014573) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-7814) |
207P00000X Emergency Medicine (Licence: TX N1766) | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2012-09-28 |