NPI | 1114154051 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P5578) |
Additional Taxonomies | 208600000X Surgery (Licence: TX BP10034644) |
Enumeration Date | 2009-06-18 |
Last Update Date | 2013-06-24 |