NPI | 1174655740 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: ID M-10699) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 29026) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2015-09-25 |