NPI | 1215165014 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 050746) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 4301094887) |
Enumeration Date | 2009-06-30 |
Last Update Date | 2017-01-12 |