NPI | 1366671083 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA A109456) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 125051550) |
Enumeration Date | 2009-07-02 |
Last Update Date | 2011-09-01 |