NPI | 1275573818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 02775) |
Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: KY 02775) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2015-02-04 |