NPI | 1265480263 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101015460) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 5101015460) |
207L00000X Anesthesiology (Licence: MI 5101015460) | |
Enumeration Date | 2006-05-04 |
Last Update Date | 2012-04-23 |