NPI | 1245270099 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A61740) |
Additional Taxonomies | 207PS0010X Emergency Medicine, Sports Medicine (Licence: CA A61740) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2009-12-10 |