NPI | 1215912092 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NC 200100171) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME 54671) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2007-10-22 |