NPI | 1083723134 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 25500) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 17434) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2013-12-13 |