NPI | 1427132778 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX M5655) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IN 01051145A) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2009-06-03 |