NPI | 1306022959 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A104525) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 239509) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2008-11-25 |