NPI | 1477526929 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CO 0042041) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WY 42041) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2018-05-10 |