NPI | 1487866471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5101017021) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MO 2009030095) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2011-11-03 |