NPI | 1093798423 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101056241) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101056241) |
Enumeration Date | 2005-11-21 |
Last Update Date | 2007-07-08 |