NPI | 1194940973 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P4379) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: RI LP00449) |
207P00000X Emergency Medicine (Licence: RI MD13025) | |
207P00000X Emergency Medicine (Licence: PA MD440167) | |
Enumeration Date | 2007-04-16 |
Last Update Date | 2012-11-13 |