NPI | 1134180912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MA 216448) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 216448) |
Enumeration Date | 2006-03-31 |
Last Update Date | 2013-09-18 |