NPI | 1437174307 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD28003) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PA MD425791) |
207P00000X Emergency Medicine (Licence: WA 60476107) | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2018-11-25 |