NPI | 1306821723 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 19971) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 19971) |
Enumeration Date | 2005-12-08 |
Last Update Date | 2007-10-10 |