NPI | 1174510218 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 18656) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2002027887) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2018-11-06 |