NPI | 1134182439 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MD D45941) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D45941) |
Enumeration Date | 2006-04-08 |
Last Update Date | 2007-07-08 |