NPI | 1376560912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101054753) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME73396) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2008-02-19 |