NPI | 1487684254 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00042271) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 31545) |
Enumeration Date | 2006-07-04 |
Last Update Date | 2013-09-23 |