NPI | 1396972592 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX N9369) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2011-01088) |
Enumeration Date | 2009-06-15 |
Last Update Date | 2018-03-27 |