NPI | 1063402238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 40882) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 40882) |
Enumeration Date | 2005-10-27 |
Last Update Date | 2007-07-08 |