NPI | 1356599211 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NH 17237) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MN 52081) |
207P00000X Emergency Medicine (Licence: CA 20A11709) | |
Enumeration Date | 2008-09-04 |
Last Update Date | 2015-08-27 |