NPI | 1346447588 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IA 3990) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IA R-8104) |
Enumeration Date | 2007-06-29 |
Last Update Date | 2011-01-24 |