NPI | 1548426067 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PR 18299) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME112091) |
Enumeration Date | 2008-08-04 |
Last Update Date | 2012-03-13 |