NPI | 1164421590 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 26998) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 200500266) |
Enumeration Date | 2005-07-19 |
Last Update Date | 2011-08-09 |