NPI | 1407873979 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036-070690) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OH 35-04-9581-F) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2008-02-08 |