NPI | 1073774915 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 237449) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 237449) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2011-01-07 |