NPI | 1538160536 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 36543) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 36543) |
Enumeration Date | 2005-08-02 |
Last Update Date | 2008-02-19 |