NPI | 1497735039 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MS 16596) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL OS0009111) |
207P00000X Emergency Medicine (Licence: TN DO0000001749) | |
Enumeration Date | 2006-01-19 |
Last Update Date | 2009-08-05 |