NPI | 1467849042 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102205235) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 2017-00383) |
Enumeration Date | 2015-04-21 |
Last Update Date | 2018-04-09 |