NPI | 1366467086 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D69915) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MA 227597) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2011-01-08 |