NPI | 1417148974 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: LA DO.000185) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 56690) |
Enumeration Date | 2007-08-08 |
Last Update Date | 2012-12-05 |