NPI | 1063429751 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS7483) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL OS7483) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2010-03-25 |