NPI | 1386698462 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA 14353R) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.14353R) |
Enumeration Date | 2006-05-21 |
Last Update Date | 2012-01-06 |