NPI | 1477683696 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 4301083429) |
Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: MI 4301083429) |
207PT0002X Emergency Medicine, Medical Toxicology (Licence: MI 4301083429) | |
Enumeration Date | 2007-03-06 |
Last Update Date | 2010-07-01 |