NPI | 1144280223 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101242964) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: CO 37305) |
Enumeration Date | 2006-03-24 |
Last Update Date | 2008-08-25 |