NPI | 1225341530 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 32890) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 49986) |
Enumeration Date | 2010-07-16 |
Last Update Date | 2018-08-29 |