NPI | 1508027020 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX P1292) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5101017607) |
Enumeration Date | 2008-06-18 |
Last Update Date | 2013-12-10 |