NPI | 1225003882 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 45346) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 46849020) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2015-01-14 |