NPI | 1063491272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 45174) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME94785) |
Enumeration Date | 2006-01-16 |
Last Update Date | 2018-05-07 |