NPI | 1407870330 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 62616) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AS A96799) |
207P00000X Emergency Medicine (Licence: RI MD11583) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2020-07-28 |