NPI | 1215972930 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00024878) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 54388-20) |
Enumeration Date | 2006-06-17 |
Last Update Date | 2012-09-27 |