NPI | 1295766756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: SC 30459) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NJ 25MA07819300) |
207P00000X Emergency Medicine (Licence: NC 2008-01886) | |
207P00000X Emergency Medicine (Licence: NY 207860) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2012-01-22 |