NPI | 1164848982 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 5556) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 0013R) |
Enumeration Date | 2014-03-17 |
Last Update Date | 2014-06-25 |