NPI | 1215227467 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VT 042.0013721) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 261731) |
Enumeration Date | 2011-04-08 |
Last Update Date | 2017-06-19 |