NPI | 1366676694 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: DE C7-0004260) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C7-0004260) |
Enumeration Date | 2009-05-14 |
Last Update Date | 2009-06-15 |