NPI | 1255534988 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA OS016399) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 11013315a) |
207P00000X Emergency Medicine (Licence: TX P0341) | |
Enumeration Date | 2007-06-08 |
Last Update Date | 2013-06-03 |