NPI | 1295890598 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME83818) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC 19386) |
Enumeration Date | 2006-12-27 |
Last Update Date | 2014-05-22 |