NPI | 1275734378 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WY TL1320) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 4801) |
207P00000X Emergency Medicine (Licence: CO DR-51379) | |
Enumeration Date | 2007-05-29 |
Last Update Date | 2012-07-20 |