NPI | 1528263548 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MD D69223) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: PR 11162) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2009-11-03 |