NPI | 1326334210 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 47110) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: SC LL33828) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2015-05-14 |