NPI | 1073545588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M6179) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 13632R) |
Enumeration Date | 2006-07-07 |
Last Update Date | 2008-03-11 |