NPI | 1194815951 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OH 35068595) |
Additional Taxonomies | 208600000X Surgery (Licence: OH 35068595) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2008-11-10 |