NPI | 1184672677 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 32787) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: NC 32787) |
207Q00000X Family Medicine (Licence: NC 32787) | |
Enumeration Date | 2006-05-05 |
Last Update Date | 2015-04-17 |