NPI | 1386683985 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MO R3G31) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO R3G31) |
Enumeration Date | 2006-06-06 |
Last Update Date | 2010-02-12 |