NPI | 1083655740 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD126266) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D40100) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2018-11-02 |