NPI | 1144277567 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042-0012059) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0101034346) |
Enumeration Date | 2006-05-30 |
Last Update Date | 2012-01-18 |