NPI | 1144434614 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL TRN11389) |
Additional Taxonomies | 2080H0002X (Licence: PA MT185033) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2010-01-22 |