NPI | 1275844979 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AZ 47628) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35.098775) |
Enumeration Date | 2010-06-28 |
Last Update Date | 2013-08-12 |