NPI | 1457570178 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR 19522) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 11656) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2007-07-08 |