NPI | 1457585259 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL TRN13445) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME116742) |
207P00000X Emergency Medicine (Licence: GA 068364) | |
Enumeration Date | 2009-05-07 |
Last Update Date | 2015-03-18 |