NPI | 1154355287 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 012225) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 07848) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2015-01-21 |