NPI | 1346258233 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301051601) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD433073) |
207P00000X Emergency Medicine (Licence: VA 0101243662) | |
Enumeration Date | 2006-08-04 |
Last Update Date | 2015-07-10 |