NPI | 1346222551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 048325) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M7129) |
Enumeration Date | 2005-11-15 |
Last Update Date | 2014-02-05 |