NPI | 1487679734 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0101232218) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 209086) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2008-02-20 |