NPI | 1194721621 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO DR.0056278) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME42222) |
Enumeration Date | 2005-06-21 |
Last Update Date | 2016-09-27 |