NPI | 1295995215 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL OS12732) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2012-00498) |
Enumeration Date | 2008-06-12 |
Last Update Date | 2014-11-05 |