NPI | 1194775742 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101840503) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101840503) |
Enumeration Date | 2006-05-12 |
Last Update Date | 2008-05-20 |