NPI | 1144218223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME96436) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101035993) |
207P00000X Emergency Medicine (Licence: MD D0025832) | |
Enumeration Date | 2005-10-12 |
Last Update Date | 2008-01-14 |