NPI | 1205881901 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS012284) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 2028) |
Enumeration Date | 2006-05-23 |
Last Update Date | 2007-07-08 |