NPI | 1063530954 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301085862) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: MI 4301085862) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2019-11-06 |