NPI | 1316962681 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA MD-016462-E) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-07-2796-R) |
207P00000X Emergency Medicine (Licence: VA 0101235984) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2008-02-19 |