NPI | 1467793034 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: TX P8253) |
Additional Taxonomies | 208D00000X General Practice (Licence: TX BP10042479) |
207P00000X Emergency Medicine (Licence: TX P8253) | |
Enumeration Date | 2013-03-07 |
Last Update Date | 2015-01-02 |