NPI | 1417986837 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME85059) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 44314) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2016-05-09 |