NPI | 1447271481 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: AL DO905) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MS 17751) |
207P00000X Emergency Medicine (Licence: WI 65077) | |
Enumeration Date | 2006-07-23 |
Last Update Date | 2016-03-17 |