NPI | 1417016098 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CA G72350) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: GU M-2101) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2018-05-14 |