NPI | 1548295249 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR MD183619) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ID TL3776) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2018-01-23 |