NPI | 1497797807 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: FL ME68141) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME68141) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2019-06-24 |